Medicare & Medicaid

Energy & Commerce Chair Rep. Brett Guthrie spells out need for changes to Medicaid.

Three House committee leaders speak out on spending plan up for debate today.

Republican committee chair says Medicaid claims are unfounded, but advocacy groups, Democrats are predicting dire consequences.

Make America Healthy Again, HHS all on the agenda this week in U.S. Senate.

Situation is ‘infuriating and reckless,’ said Rep. Kim Schrier, MD, as she rips Trump administration for defunding research, planning to gut Medicaid.

Former Medicare innovation chief forecasts the future of payment for focusing on the patient.

Medicare data shows a shift toward larger, multispecialty and hospital-affiliated practices.

Researchers warn federal cuts could drive mortality, medical debt and delayed care.

A majority of the public says health care cuts under the Trump administration have been made “recklessly” — including some Republicans.

New National Academy of Medicine report examines Medicare reimbursement, the RUC, and the process of determining values of medical care and services.

Relative Value Scale Update Committee responds to analysis from National Academies of Sciences, Engineering and Medicine.

NAACOS urges Trump Administration to ensure ACOs and value-based care are part of health policy going forward.

With burnout, worker shortages and razor-thin margins, primary care doctors are in trouble in the United States, and Medicare is not helping.

Moves prompt praise from opponents of high costs of medications, PBMs.

Health care leaders must strategically approach the financial and operational changes that come with Medicare Advantage and Medicaid Managed Care requirements or risk disruptions to revenue cycle management and ultimately, revenue leakage.

Nearly two-thirds of users said they received care they couldn’t have otherwise, highlighting the stakes as Congress considers whether to extend virtual care coverage.

Physician-owned Wilmington Health identifies high-risk patients to deliver care at right time.

RPM gets analyzed in a new report by the Peterson Center on Healthcare.

Peterson Center on Healthcare offers policy recommendations to better serve patients while avoiding wasteful services.

One in eight portal users over 50 report being billed for messaging their doctors, with Medicaid and private plans charging at similar rates.

‘Overly creative’ programs tally up to $2.7B in spending that will end, according to CMS.

Trump nominee Dr. Oz sets Medicare agenda with price transparency, detecting fraud

Medicare Economic Index would better reflect doctor expenses while ensuring patient access, AMA says.

Formal vote comes ahead of June report to Congress on pay in Medicare Physician Fee Schedule.

The evolving landscape of Medicaid work requirements

‘The revolution begins today,’ new HHS Secretary RFK Jr. says.

As obesity medications gain popularity, many older Americans support coverage — but not higher premiums.

Policy center argues patients around the world benefit when Americans pay more than their fair share for research and medicines.

Finance Committee ready to send nomination to full Senate, ranking member says.

A view from the front lines in a pediatric practice.